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Dr. Gregory Martin Ivy, DDS
General Practice Dentistry in Springfield, Virginia
NPI 1982825410

Gregory Martin Ivy is a General Practice Dentistry based in Springfield, VA and is specialized in General Practice. Gregory Martin Ivy practices in Springfield, VA and has the professional credentials of DDS. The NPI Number for Gregory Martin Ivy is 1982825410 and holds a License No. 0401005614 (Virginia).

The current practice location address for Gregory Martin Ivy is 8342 Traford Lane, Springfield, VA and can be reached out via phone at 703-644-5955 and via fax at 703-644-1337.

Location: 8342 Traford Lane, Springfield, VA, 22152-1638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982825410
Provider Name
Gregory Martin Ivy
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
8342 Traford Lane, Springfield, VA, 22152-1638
Phone Number
703-644-5955
Fax Number
703-644-1337
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8342 Traford Lane
City
Springfield
State
Virginia
Zip
22152-1638
Phone Number
703-644-5955
Fax Number
703-644-1337
person
Provider Business Mailing Address Details
Address
8342 Traford Lane
City
Springfield
State
Virginia
Zip
22152-1638
Phone Number
703-644-5955
Fax Number
703-644-1337
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401005614 (Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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